Proposal form

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If you are an organisation then please tell us more
How long have you been operating for?
What do you do?
Have you any prior experience in running this type of asset or community initiative?
Are you a
- Registered charity
- Industrial and provident society
- Community interest company
- Social enterprise
- Other voluntary organisation - please describe
Details

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Your interest
Select the community your are internested in
Which service review (if any) referred you to this form?
I am interested in talking to you about an asset or assets
- Yes
- No
(if yes, please specify which one):

Which asset

I am interested in talking to you about setting up a new community initiative
- Yes
- No
Please provide us with a brief outline of your proposal. Please include any information on how it (asset/community initiative) will be sustained:
Please briefly set out how your proposal will help to meet agreed local priorities or recognised needs:
Could you operate out of other local community facilities? If so, please specify:
What kind of support do you think you would need to start to turn your proposal into a reality?

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Other supporting information
Please describe what wider community support you have for this proposal:
Have you discussed your proposal with any other local organisations? If so, please specify which ones and whether there is any potential to develop your proposal in partnership with them:
To help us facilitate a wider discussion in your community we would like your consent to share your submitted information with other interested parties and publish this on this website. This would be really in helping foster a fuller conversation in your community on the services and assets that it wants and needs. Thank you.
I consent to my details being shared with others for this purpose:
- Yes
- No
Please enter the characters shown in the box provided to confirm your submission:
Phone
This field is for validation purposes and should be left unchanged.

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